Appointment Request

Call (303) 666-7267

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Office Hours:
Tuesday - Thursday 8:00 a.m. - 3:00 p.m.

Insurance: We participate with Delta Dental PPO, Cigna PPO, Ameritas Plus Network, Guardian DentalGuard Preferred Plus, United Healthcare DPPO and United Concordia Elite Plus. We will bill any insurance on your behalf whether or not we participate with that plan.

Please do not use this form to cancel or change an existing appointment.
*Items in bold are required.
Are you a current patient?


Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

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